PROVIDENCE WELLNESS LLC NPI 1548076490

NPI Information

  • NPI: 1548076490
  • Provider Name: PROVIDENCE WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4490 HIGHWAY 80 E STE A
    PEARL, MS
    ZIP 39208
  • Phone: (601) 335-8600

Map and Directions

Get Directions

NPI Details

PROVIDENCE WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Pearl, MS. PROVIDENCE WELLNESS, LLC NPI is 1548076490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4490 HIGHWAY 80 E STE A
PEARL, MS
ZIP 39208-206
Phone: (601) 335-8600
Fax: (240) 219-3126

The provider's authorized official is Barbara L Tapps .
The authorized official title is Ceo Owner and has the following contact phone number (601) 955-4039.

The enumeration date for this NPI number is 12/5/2024 and was last updated on 4/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI